HomeMy WebLinkAbout2002-P05468 - addn/remodel/repair � � PERMIT
C I TY O F O RO N O Permit Number:
2750 Kelley Parkway - PO Box 66 Pos46a
Crystal Bay, Minnesota 55323 PeC'CTllt Typ@: Addition/Remodel/Repair
(952) 249-4600 Date Issued: ioi3i2oo2
SITE ADDRESS: 136o Railroad Avenue(Box 51)
Crystal Bay, MN 55323
P I D: 10-117-23-31-0007
DESCRIPTION: UBC Occupancy R3
Consriuction Type VN
Proposed Use: Residential
Pernut Class: Building Census Code 434
Pernut Type: Addition/RemodeURepair Pernut Sub-type(s): Deck-Attached
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 97.25 Valuation: $ 4,000.00
Plan Review Fee: $ 63.18
State Surcharge Fee: $ 2.50
TOTAL FEE: $ 162.93
APPLICANT: Micheal Lasher OWNER: Micheal Lasher
1360 Railroad Avenue(Box 51) 1360 Railroad Avenue(Box 51)
Crystal Bay,MN 55323 Crystal Bay,MN 55323
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING COD UIREMENTS.
_ ��r ��� 1��'.
rv� PLI NT PERM NATURE ( ISSUED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Avplicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
r _ ,
� , ,
d,�.�Total Fee: $ ���_ T� Date Received: ,�j��� � v�''
� � Entered By: -r����t,. Permit#: ,� v�>�I(,��'
�r
CITY OF ORONO - BUILDING PERNIIT APPLICATION
All information must be submitted in full before plan review will be started.
(please print all information)
THE APPLICANT IS: (circle one) NE R CONTRACTOR
JOB SITE ADDRESS: � ,3�� /z,qi C !L �� �J � c/� ZIP: `. ��y /
NAME OF OWNER: l►�!/c;N.��C �;� " ./-. "�" PHONE: (home) �7�- y�o
(work) y s"�- � 9 y - >> 6�
MAILING ADDRESS: /.�!vv /z,� c/-��.�i .Fi /�vc- CITY: ���..y �� ZIP: .:y!
CONTRACTOR ,,S� L ;= PHONE:
CONTACT PERSON: MOBILE/PAGER:
MAILING ADDRESS: CITY: ZIP:
STATE LICENSE: #
ARCHITECT/ENGINEER -� � � s= PHONE:
MAILING ADDRESS: CITY: ZIP:
NAME: REGISTRATION#
TYPE OF WORK: New Addition � Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED WORK(describe in detain: �= �: - <_ , -;: - c. � , ,- l�� :-:._ =
�''f �v /� / '' � ✓G ' /r t.J% .-� f_'J��-- '
STORIES: � SQ. FEET OF EACH FLOOR: /.�u �%
NO. OF BEDROOMS: .3 GARAGE STALLS: ATT. _� DET.
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ y��� �-
I hereby apply for a building permit and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the City and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordanc ith proved plan.
APPLICANT'S SIGNATURE: DATE: � -;� =� �
NOTE! Parade of Homes events require separate permit approval by Police Department and
City Council 60 days prior to the event. Non permitted events will not be allowed.
5
. , ► �
Sec.13.04 RIGHTS OF SUBJECTS OF DATA
Subd. 1. Type of data. The rights of individual on whom the data is stored or to be stored sha(1 be as set forth in this section.
Subd.2. Information required to be given individual. An individual asked to supply private or confidential data concerning himself
shall be informed of: (a)the purpose and intended use of the requested data within the collecting state agency,political subdivision,or statewide
system;(b)whether he may refuse or is legally required to supply the requested data;(c)any known consequence arising from his supplying or
refusing to suppty private or confidendal data;and(d)the identiry of other persons or entities authorized by state or federal law to receive the data.
This requirement shall not apply when an individua( is asked to supply imestigative data, pursuant to section 13.82, subdivision 5, to a law
enforcement officer.
The commissioner of revenue mav alace the norice reauired under this subdivision in the individual income tax or orooertv tax refund
instructions instead of on those forms.
Subd. 3. Access to data by individual. Upon request to a responsible authoriry,an individual shall be informed whether he is the
subject of stored data on individuals, and whether it is classified as public,private or confidential. Upon his further request,an individual who
is the subject of stored private or public data on individuals shall be shown the data without any charge to hun and, if he desires,shall be informed
of the content and meaning of that data. After an individual has been shown the private data and informed of iu meaning,the data need not be
disclosed to him for six months thereafter unless a dispute or action pursuant to this section is pending or additional data on the individual has been
collected or created. The responsible authority shall provide copies of the private or public data upon request by the individual subject of the data.
The responsible authority may require the requesting person to pay the actual costs of making,certifying,and compiling the copies.
The responsible authority shall comply immediately,if possible,with any request made pursuant to this subdivision,or within five days
of the date of the reques[,excluding Saturdays,Sundays and legal holidays,if immediate compliance is not possible. If he cannot compty with
the request within that time, he shall so inform the individual,and may have an additional five days within which to comply with the request,
excluding Saturdays,Sundays and legal holidays.
Subd.4. Procedure when data is not accurate or complete. An individual may contest the accuracy or completeness of public or
private data conceming himself. To exercise this right,an individual shall notify in writing the responsible authority describing the nature of the
disagreemenL The responsible authority shall within 30 days either: (a)correct the data found to be inaccurate or incomplete and attempt to notify
past recipients of inaccurate or incomplete data,including recipients named by the individual;or(b)notify the individual that he believes the data
to be correct. Data in dispute shall be disclosed only if the individual's statement of disagreement is included with the disclosed data.
The deternunation of the responsible authority may be appealed pursuant to the provisions of the administrative procedure act relating
to contested cases.
DATA PRIVACY ADVISORY
In accordance with M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your
request for a permit or license from the �ity of Orono or any of its departments may require you to furnish certain
private or confidential information.
You are notified that:
1. The information you furnish will be used to determine your qualification for the permit or license
requested.
2. You may refuse to supply data, but refusal may require that the City deny the permit or license.
3. The information may be shared with other local, state or federal agencies to the extent necessary to
process the permit or license.
4. If your requested permit or license requires Council action to approve, some information may become
public.
5. You have certai�rights under M.S. 13.04(available upon request) to review private data on yourself.
6. Your full name is required to process this application or permit.
H%/G<✓�9� C �o N�/ � '`�J�c/�
First Middle Last
� J �i�0 ��/� /C . �� '! 1 C
Address
v GZ�tit o .�-� �J �r3 9� ��.�-y � 3- �60�
C�ty State Zip Phone
I understand my rights as st ab
Signature
6
� CHECB OFF LIST FOR ISSUANCE OF PERMITS
FOR OFFICE USE ONLY
ADDRESS QR LEGAL: �3loc� 2�A�L�2,a,4� a v�
PID:
DESC ON OF WORK: rzc,�-t
ZO�TING VIEW BY: DATE APPROVED: /d -z- n Z
BUII.DING V�+W BY: DATE APPROVED•, ►o-z • o i
____ �_ _�______________
FEES TO BE CHARGED: Misc. Fees Calculated By:
PERMIT Yes _� No
PLAN REVIEW Yes / No SEWER CONNECTTON
STATE SURCHARGE Yes / No WATERCONNECTTON
INVESTIGATION FEE Yes No PARK FEE
SAC Yes No STTEINSPECTION
Number of�SAC�Units OTHER (specify)
ZONING C CK LIST zoning Districc: C.�2-I/a .
Fire Department: Post Office: School District: �
Lot Area: Sq.ft. 2�.�13'7 Acres .S 1 � Width Depth
Survey Submitted: Yes�c No Date of Survey: 2•zg- c��
Proposed Setbacks:
Front(�: `�l0 Right Side: �o� f
Reaz(S�eei): 10 5 Left Side: fa0�-�
Adjace�t Structures: _ �,�-r-�qc►�-�r� Wetland: N I J�
Building Height: Def. Hgt. o.� Peal:Hgt. n,(�
Lot Coverage: i o.�
Grading: Staff Approval Date: iJ/►� By: Council Approval Date:
Septic: Staff Approval Date: �J/�¢. By:
Zoning File: f# 2 7ro Resolution: # Resolution Date: 9'•Z 3-uz
Shoreland Distri�t: y��
Avg. Setback: �1��il Bluff Setback: iJ/� Lot Coverage: i�•�
Existing Proposed
HazdcoWer: 0-75'
!, 75-250'
250-500' c� o
500-1000' 2�i.°1 31.2
Hardcover Variance Required: Yes No o�_ Date of Council Approval:
REMARKS(�n house):
�
7
� e
BiTILDING REVIEW CHECK LIST
�C� �' � CONSTRUCTION TYPE: V�
+ Sq Footage $Per Sq Ftg
Basement x = —� .
lst Floor x _
2nd Floor x _
Gazage x _ �
x =
TOTAL
Fstimated Construction Value: $ �{,ooc°C'
Inspections Required: Nork Requiring Separate Permits:
Site Plumbing Fire
Hazdcover Removal Mechanical Water Connection
t Footing ' Septic Sewer Connection
_�Framing Fireplace Lawn Irrigation
Insulation (Masonry) Other
Wall Board � (Mfg.) Well(State Permit)
—2�F� Grading/Filling Electrical(State Permit)
Other
REMARI�.S(IN HOUSE):
_�_____________----------------�______ _�--
REVIEW BY OTHERS: DATE:
Access: Ezisting New
Access Approval: Date gy_
- -- ---------------------------
RENIARBS (TO BE NOTED ON PERNII�:
8
� .. I .. �� '. _. .
���1 �,�--�--y�' L- l��� �.9-+.�. �� �
�7�(...� ���t�-'"� V C LL
;
// i�
�x l� �rs7— t(.s� D�.
°� � U� up�o �-�""�
(7 �. �y� �
p v" L� v � �p 1/u��L C.��w"� i
�
�--�--� �� �, � �x t�
�-�'p..���--� �,�
�''� �i'UG,�yl�'
�����
�j, �, p5� - ��.�
��� �f� ��yw�_�G
�� (o
��.�,�� l_�f-��. � l��G, �S
__,—_ �
�
� �':,.a.,�C r�r�
' ���i. .��'�c�€�s't�5 �
I
I �
� � � C'�T'(�'C1 ��vk i.�` rJ�c...t� i
�� 1 �i
-�
;
�V�
�. ����- L` '��'
�.�`� - `..� (l 1 ��-���
- �
�_______, __._ -
v
` ���,_ ,3�z�� SLiB1VIIT TRUSS DESIGN TO � ` _
�
��-�' ,�, ' T1V�PECI`OR AT F�RAI�+(ING �NSPECI'tON�,$ 4 .. r r�`
r c/�; ", ,,; ;. � yjr' '' :e �
�—: � � 02 " 2X`` .�� -�
}� s �d7C r� �.�. L �j t 7/,'� �f/,�,9.t� �'; . . .
R ��,/�: L� � „r � �l �� f �
l'
^.� j .�'� , ld Oa`�`�•"-`�� �j�,�.�,�,a;'`>-,,,, �f7'?C � ,`�,� /``t�G r�' ty
�' . - � 'f ..
�` . �..J,��;; " ..r �
� j y�
I' �'='�. ���„A�"r � �� �r` f7'4`./T'�
.. �F � �; ' � . ����'"''. f
`T: , ; __ — �CAR��j .
i ;�
�„"': �� ` , .__.._. �.+•' :.
� `• . � , "-�.� __. .. .. �
�' .... -� "� . - � i
'` t� � ,fJ�;• � ' .
C f
I. Y'i j
� ��� � �
STR!RS � � �' `
�i�� MAX. �.1l�t:F 9" ?�!s?N. TREAD � ; � ;.
�.�.<,>,� ;.•,��. ; ,4:�����?,�! � �
/.i' +i,^.5'T :JNE H��i•�i��:A;L R�.�U�RED � '�+
G"ARC�'AiL 0:=s=\ S!D"t5 r C �
. .. � .�. ....�„ ......_..�.r.,.....�_...._..�. ..
. , ...�.,._�....:.�,�.._._.,�.�
, : . � ; . , ,
� : F ..._ t 'i�-��,�.y,,..a v. j. ..�.,..,»,..,....,�.�.. .,-,.. :�,.w ,_........ _.__,_,,,�....,.-.
._.. . .._. -
. t ,
. _.
. . ''`''�
. _ _�r
. ..� . r . �- , ' ��...�.4.� .. . . • , _ _ ,._.. . . _. . �.
,
. . ..
. . i
, .. . .. .� � > . . .
) P , . -. � . ���� � .: - ,, )"�r' ,a /.�,�G �E._ �,t
b'' �`�, _ -� � . . : �
_ .
.5_- �. � � : •- �
r�.
,
. � _
,.�
—� i _ __..._.___�-,__�--,.__...�..._____�_��.,.�._.� ..�
, .._.__....__..�1 r._....�.......t..,.._.�,
, _ _
� r �� �
� :g. .�, �.- , � � �� � -
� f `;; I� - �: C!T F O U
� �.� ,.� �,a Bi:;ti.u��ti.� �i�vl PL;,iV R��.�iEW
; Q...._..:,. �`' ` ,=�`�' ". iNS�'c��""�R_____
fi . . o�.;.= �o -2•oZ rw�ta�ir r�.a. �
� � ❑ C,i ('?!��v�E�!�.:i:i'v'.n'r.'.1i i i t,�
' - , ( I �-�/
rYi �-'1��..�i�'!.il��':i7i� .('..'.:�('�."�..'il i�t'��f�.7 l��1 CL�
� " �.'.1Tr�:ti� ��F-. _ �r';'�- TR. �'` { �7���
� r � , r,`:7. -i) C� -, � �'� .R� �l.u;�.sT
. TL.... ;�71,' :�,. ^'E i:r'►'�:!f Y1,:��:l3,1,,.. io-,i wn�:„ . �.)U��!ie
�t ..'' .. :f.::^ .�.�;: ...�: '� '.i�iF r'.i,�.�.��:� :+f•3 ZTi^,� ,�(i9.
F -: . ,. :� ; -,., �.-,.� _ ���, ,_... ;, � ;w.
� � �„ � K��r�i N�S PiAN�ET G(V SI l'E AT ALL TiMES
`..
� � �` + � �':'f`'x � ��,�`
� � �
.,. ......,_ ,�,
!. .._............w • ,,.. ......
t
, '-. ---- - �....... . ��,t
__._------- _-_._,__ _ ... . .,... �c+'I
�.,.W_ _,_. �__ :, ..T ...._..
._ .__.... � ._.._____`_.. ^ .�_,
�.M^ .Y n � ;h� l , ' �� .�
�- ..._.....�.�._�,�.�� �� �y� �;�,�.�
•f; ;�, .��� �.
,___. � �., � , �,' ,� � � �� ,�
� ���( � ;� ,`�'. , f' � �,�.. 4 ` ��� � . `�
:r'
• � � Exhibit A
�R�IN� ���� 1360 Railroad Ave., CYystal Bay,Mn, 55323
LEGAL DESCRIPTION:All t�at pazt of Northeast 114 of thc Southwest 114 of�Section 10.Township 117.Rangc 23,
descnbcd as follows: Beginning at a point an thc Southerly linc of Lot 6 of Elbridge S.Barncs'First Subdivision distaat
205.08 fect Southeasterly from the Southwest corner thcreo� thcncc Nortbw�stcrly to aaid Southwcst corncr, thcnce
Southwesterty along thc Easterly line of the right-of-way of the Grcat Northern Railway 1�9.06 fcet; thencc dcflccting
lcft 90 dcgrccs to su intcrsxtion with s linc drawn through the point of beg�inning ai right anglcs Southwestcrly from thc
Southerly line of suid Lot 6; thcnce Northeastcrly to tha point of beginniu�subjcct to thnt ptut thcrcof lying within
� � Centrnl und Railroad Avcnues. •
� �. �( � s �� \, `�;
/!, � � o: `! :� ��'`'.. ,y,> � , y� .
�'' Q• Q � J 'I + ` ^�`l�j��'•,`:� �I`i'r�.�• `_ . /V
V4' � � � l � • " ` �/+ • 1
��• ��+ i!! 'c�-�.�'.,,.., S� \
� t � �
d f � �, '' . �' �'Y • �Jb
.,� � � � h flj\�...: T� la�k� �`.,.a": '�•.,� O r��`
� .� �
� 41 q� �� ' ;. � o��"� �����s�� � /�, C�7`
' ' 90� ,='� (f wa - 8� �° `: �e4/_ ra/ `
y �1 tO •�:... ��/p /
� nti . ./
� 3.`� t: � /� 9 �+~� 6 a S� _.�, . �•�.�..� �v
r. Z f Q � �•
� f � 41 jMJ'}.r j j� � gz ' �63 , ' 1 T�S •�'==-�`�:�,..:'
� �O`1� •���� , �� � , / � S6 Q c �-` � P
ti " � ' �
�4
b� ,��f . �. `;.i •, 91S?s„ V ' �9� o ,�D �'
v���, ;� rn. . � � �'� � ,� � E ' �'°+p�`�' �
•s ,��}�:' . .�. h � / �
1�0, °�� . ' ` +: ' 8/i �� ,�" ��,- � �, � P•
, ,
� � �7` ` �p �o D � � � t� �� �ti ti.
�J .'` � . 1 19 �,y�wd '� � � °� i \
Q' I W �O� ..�''r. ' N � `�' y � ��� �q � . ?�
o �f;� ' '�C v . � .
Q' �t � 'j f:� � � ` L
� � ` � �� � 1 � �- ,�L � .�
/ `�. :� � o�r L � . �( .
� ��' �= r � 3� �r.o `� �� �� .:
� w �' � \ � � ��d • ' � t/� �'y.
\ Q� 0��
�
� c
� `�: ' ,� � .� - �. � � �. ..
,. �
L' � .. ,; $ , �� � ''/6 � �`C ,
� �� ' z4 � � l � '1
o . �;
q��s• � • �"F�^gcP�P` •, ,•� . ", /,c '-,
DATE TIME
V
CITY OF ORONO CALLED IN ' �
INSPECTION NOTI SCHEDULED ��
PERMIT N0. �5��� COMPLETED
ADDRE � ILQ.. 1 �J �O C� f� l ,� '
OWNE� � �1�-��%' CONTR.
TELEPHONE N0. �J� - �� -7 .'� - �/�CG��
� DESCRIPTION 1�J-�C-��- ' �'"QC) �iNG�/�—�
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/ LFl LING �
O2 RAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS �
INSULATION 24/25 WO00 BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 OEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTAIL. 22 FOLLOW-UP
i09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �.
�
a �f')')l fi Q/1
j _
O �
a
�
O
�
W
�
Q
�
Z
W
�
W
�
�
d
W WORK SATISFACTORY:PROCEED ❑ PROJECT COMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
� ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call forthe ne�inspection 24 hours in advance. (952� 249-4600
OwnerlContr�on s�te:
�; ` � ,.� � ` �
Inspector. � � �; (^y"'-'�-�t
White Copyllnspector's File Canary CopylSite Notice
/
�y� DATE TIME
CITY OF ORONO CALLED IN 2-I U3
INSPECTION NOT E SCHEDULED
PERMIT NO. �y�°$ COMPLETED
ADDRESS I�3 Lo O �-Q� � r p�.�
OWNER YV�►U�S�- �Q�.I�CONTR.
TELEPHONE N0. �"15'2 Zq� ��v��0
� DESCRIPTION �� Y`�� "" ��--
� 01 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILUNG
Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS
y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION
Q OS FINAL 14 SEWER HOOK-UP 06 PROGRESS
� 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATIOWREMOVAL
� OWNERICONTRACTOR TO MEET YOU:_YES NO
y COMMENTS:
�
a
j
0
a
�
0
�
W
�
Q
�
W
�
W
�
�
d
W� ORKSATISFACTORY:PROCEED ROJECTCOMPLEfE
W ❑CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
O ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
OCORRECTUNSAFECONDITIONWITHIN HOURS. ppHOTOTAKEN
INSPECTOR WILL RETURN
❑STOP ORDER POSTED.CALL INSPECTOR
❑CITATION ISSUED
❑INSPECTION RE�UIRED.CALLTO ARRANGE ACCESS.
Call for the next nspection 24 hours in advance. (952) 249-46��
OwnerlContra it :
Inspector.
White Copyllnspector's File Canary CopylSite Notfce